背景:道德伤害在医疗保健专业人员中普遍存在,尤其是护士。这会给临床医生带来负面的个人后果,并间接影响患者护理质量。尽管世界各地的护士在大流行期间遭受了道德伤害,这将继续是一项专业挑战。因此,这项研究旨在确定翻译成西班牙语的衡量道德伤害的量表的心理测量特性。
方法:进行了横断面方法的方法学研究。在使用国际测试委员会的方法将医疗保健专业人员道德伤害症状量表(MISS-HP)翻译成秘鲁西班牙语(MISS-HP-S)之后,数据使用在线调查方法从720名秘鲁护士的样本中收集.分析方法包括探索性和验证性因素分析,并检查了按年龄划分的不变性。校正后的同质性指数,序数阿尔法,麦当劳的欧米茄允许评估内部可靠性。
结果:这些护士样本的结果大多是女性(92%),来自秘鲁沿海(57%),平均年龄39(±11)岁,为MISS-HP-S的有效性和可靠性提供了支持。研究结果表明,不同年龄段的因子结构一致且具有足够的不变性,从而认可了结构有效性。在这项研究中,观察到三个因素:内疚/羞耻,谴责,和精神力量。内部一致性值包括0.795的序数α和0.835的麦当劳ω。
结论:这些发现与以前在其他文化背景下的研究报告不同,提示文化和样本特定因素对秘鲁护士道德伤害感知的影响。因为这个证据支持MISS-HP-S的有效性,它可以在专业实践和未来的研究中使用,以识别和解决导致护士道德伤害的情况。
BACKGROUND: Moral injury is prevalent among health care professionals, especially nurses. It can have negative personal consequences for clinicians, and indirectly impact the quality of patient care. Although nurses around the world experienced moral injury during the pandemic, it will continue to be a professional challenge. Thus, this study aimed to determine the psychometric properties of a scale measuring moral injury translated into Spanish.
METHODS: A methodological study with a cross-sectional approach was conducted. After translating the Moral Injury Symptom Scale for Healthcare Professionals (MISS-HP) into Peruvian Spanish (MISS-HP-S) using International Test Commission methods, data were collected using online survey methods from a sample of 720 Peruvian nurses. Analytical methods included exploratory and confirmatory factor analysis, and invariance by age were examined. The corrected homogeneity index, ordinal alpha, and McDonald\'s omega allowed the evaluation of internal reliability.
RESULTS: Findings from this sample of nurses who were mostly female (92%), from coastal Peru (57%), and averaged 39 (± 11) years of age, provided support for the validity and reliability of the MISS-HP-S. Structural validity was endorsed by findings indicating consistent factorial structure and adequate invariance among different age groups. In this study, three factors were observed: guilt/shame, condemnation, and spiritual strength. Internal consistency values included an ordinal alpha of 0.795 and McDonald\'s omega of 0.835.
CONCLUSIONS: These findings differ from those reported from previous studies in other cultural contexts, suggesting the influence of cultural and sample-specific factors in the perception of moral injury among Peruvian nurses. Because this evidence supports the validity of the MISS-HP-S, it can be used in professional practice and in future research to identify and address situations that contribute to nurse moral injury.